1.1 Visits to social care institutions (residential homes for the elderly)
Trnovo CE explained that, during the home’s activities which are also attended by residents from the
secure ward, the doors of the residents of the secure ward are locked so that these residents would not
abandon the activities. NPM is of the opinion that this measure is inappropriate. It is understandable
that not all residents will like all events, and they have the right in that case to withdraw to their rooms.
Locking would only be acceptable if the residents themselves express this desire. At Črni Vrh RH we
were unable to determine just how often residents are locked in their rooms, as one of the employees
explained (if we understood him correctly) that all rooms in the secure ward are locked at night.
Nonetheless, we warned the home that restricting movement within one room is a security measure
outlined in ZDZdr, which also stipulates constant supervision.
One resident at Črni Vrh RH also informed us that the employees lift the rails around his bed, preventing
him from resting or sleeping too much during the day, and therefore suffering from insomnia at night.
The NPM expert could not find a professionally founded reason for preventing a resident from resting in
bed, wherefore we recommended that the home rectify this situation, instead motivating the resident to
integrate into daily activities.
Activities in the secure ward
The practices of homes in their program of working with residents suffering from dementia and the
activities related thereto were found to be somewhat similar.
Some homes already have in place a Program of Working with Persons with Dementia (Radlje ob Dravi,
Črni Vrh), or a Work Program for Persons in Secure Wards (Velika Polana). Individual homes have different
names for similar programs, e.g. the Concept of Working with Persons Suffering from Dementia in the Field
of Institutional Care for the Elderly (Trebnje). The Concept of Working with Persons with Dementia was
formulated on the basis of the Guidelines for Work with Persons Suffering From Dementia in the Field of
Institutional Care for the Elderly, approved by the Ministry of Labour, Family, and Social Affairs (June 2011).
Risk Analysis form and Activity Schedule in the Secure Ward are annexed to the Concept. The Program and
Concept are very similar in terms of content, as both in addition to an introductory chapter also include
the concept of working at a secure (integrated) ward, monitoring residents’ needs, and evaluation, as well
as the purpose and objectives of the program. The objectives and purpose of the program are to allow
residents a quality stay at the home, to help them maintain their psychophysical condition as long as
possible, to maintain their cognitive ability and their ability of performing basic life activities.
Activities at homes are scheduled throughout the day (Trebnje, Radlje ob Dravi, Velika Polana), and
homes encourage their residents to take part in these activities and other forms of socialising. In terms
of content, these activities can be divided into activities encouraging cognitive abilities, daily activities,
physical activities, and social activities.
We commend the practice of Velika Polana RH, where the afternoon activity for residents is organized in
the secure ward and includes residents from other wards, which encourages socialisation and prevents
stigmatisation of residents from the secure ward. When viewing the schedule during our visit to Velika
Polana RH, the question arose as to how actively residents who do not go to the occupational therapy
rooms spend their time, and what activities are available for these residents. We wanted to know if they
were sufficiently tailored to the needs and desires of these residents and how much time caregivers
actually devote to an individual resident and their personal needs, given that already a half-hour before
lunch the residents were already sitting at the table. In its reply, Velika Polana RH explained that there
is a sufficient number of occupational activities, but not all of them are written on the schedule, as it is
dynamic. Activities in the secure ward go more slowly, as residents, due to their illnesses, need a certain
amount of time to understand a given activity and slowly learn to master it. They explained that the
residents are seated at the table so early so that they can calm down and get ready for their meal.
Some of the activities in homes are permanent (group exercise, ball games, physiotherapy, outside walks,
singing and listing to music together, chatting, group games, didactic games, various creative activities),
while some are more focused on working and occupational therapy (Velika Polana). Occupational therapy
is conducted in the ward or in the occupational therapy rooms, which are also visited by the residents
of the secure ward. Residents of secure wards also help with some housekeeping chores at the home,
including gardening work, caring for the home’s animals, and also as part of workshops for preparing
meals. Residents of the secure ward are also included in the home’s activities which take place outside
of the secure ward. At Jesenice RH, we would have liked to have seen more guided activities. At Ptuj
IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2013
NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT
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